Korean J Thorac Cardiovasc Surg.  1999 Jul;32(7):675-680.

Anterior Tracheoplasty: Two Cases Report

• Sun K
• Lee SW
• Kim JT
• Kim KH
• Lim HG

Abstract

We describe here two cases of anterior tracheoplasty utilizing an autologous pericardial patch. One patient was a 9 year-old female who had a congenital long tracheal stenosis associated with major vascular anomalies including pulmonary artery sling. One-stage correction was done under the support of an extracorporeal membrane oxygenation system. She required a prolonged ventilation support for 10 days postoperatively until the implanted pericardium was fixed to the mediastinal structures. The other patient was a 8 year-old male who had acquired tracheal stenosis following a complicated tracheostomy. By applying additional support over the pericardial patch with the costal cartilage, an endotracheal tube could be removed immediately after the operation. Both patients have been doing well in a postoperative follow-up of over a year, and there have been evidences of growth in the reconstructed trachea.

Keyword

Surgery method; Tracheal stenosis; Extracorporeal membrane oxygenation; Pulmonary artery sling

MeSH Terms

Cartilage
Child
Extracorporeal Membrane Oxygenation
Female
Follow-Up Studies
Humans
Male
Pericardium
Pulmonary Artery
Trachea
Tracheal Stenosis
Tracheostomy
Ventilation